肖晓亭《疯门全书》与麻风病的因机论治

XIAO Xiaoting's Feng Men Quan Shu with Pathogenesis Differentiation Treatment of Leprosy Disease

肖晓亭是清末著名医家,其代表作为《疯门全书》。肖氏认为麻风病的病因病机为邪风虫体侵袭人体,致营卫不和、气血不调、血随火化;其治法多样,涉及病程各个阶段,遵循六经辨证,紧循病因病机,抓住典型症状;反对滥用毒药,批判麻风病服用"轻粉"而反添毒疾的陋俗流弊;立足病人体质及疾病特点,提倡戒"食",对于治愈的病人,亦强调不能轻忽善后,要固本祛邪,顾护脾胃;极其重视疾病预防,提出多种行之有效的防传染措施。

XIAO Xiaoting was a famous doctor during the late Qing dynasty with his representative book of Feng Men Quan Shu. XIAO considered that etiology and pathogenesis of leprosy disease were invasion of human body by evil wind and insects, causing imbalance between Yin and Wei-qi, disharmony of Qi and blood, blood transformation towards fire. His various treatment methods covered every stage during course of diseases, following six meridians differentiation with adherence to causes of diseases and pathological mechanism by seizing classical symptoms. He opposed to toxicant misusing, criticizing customs of Qingfeng intake to create more illness in leprosy diseases. He insisted on dietary by patients＇ constitution and symptoms features. As for cured patients, he emphasized that treatment should focused on essence while expelling evil pathogenic factors, caring spleen and stomach without ignorance rehabilitation. He put much importance on diseases prevention by putting forwards many effective anti-infection measures.